This is why people keep saying the OBBBA kicks 17 million off health insurance. Rs are using "current policy" to extend expiring Trump tax cuts and keep the costs lower on paper. But they have declined to extend expiring enhanced premium tax credits in the ACA, which are also current tax policy.

This language is nearly identical to Sec 112 of House-passed 2017 repeal bill (AHCA) entitled "Repeal of Medicaid Expansion." Starting 1/1/31 would eliminate the 90% match for the #Medicaid expansion except for those already enrolled. Would cause states to drop expansion due to massive cost shift.

Medicaid pays for 41% of all births. The highest share is in Louisiana, where Medicaid covers 64% of births.
www.kff.org/medicaid/iss...

As more Medicaid and ACA changes pour in tonight from Congress, one thing strikes me as a former state human services secretary. For them or against them, the assumption that states will implement so many new policies and programs at once on time and as designed is, well, fantasy.

First Q from advisory panel: - how would new regulatory framework impacts this, if new strain selected, would that require new trials?...
FDA's Jerry Weir said too premature too discuss this. - question off topic.

I don't see how this is off topic. #healthpolicy

Brush up on your Byrd Rules because I expect this reconciliation bill to get a thorough Byrd Bath.

The Senate Parliamentarian makes the decisions not CBO. However, CBO scores are important because reconciliation is meant to change the budget and the “extraneous matter” tests ensure that.

“In foreign countries, the vaccines are more broadly approved, similar to what FDA has done in the past, and then restricted on public health grounds. That’s where CDC could have stepped in, had FDA not usurped its role.”

If House Republican Medicaid and ACA cuts pass, and enhanced ACA premium tax credits aren't extended, the state with the biggest increase in the number of people uninsured: Florida.

www.kff.org/affordable-c...

A technical footnote for the wonks: CBO has not yet estimated the interaction with 1 million more uninsured from the Energy and Commerce ACA changes and 2.1 million from the Ways and Means ACA changes. So, the net change might be somewhat different from the sum of the two.

President Donald Trump said that under his new executive order, prescription drug prices will be reduced “almost immediately.”

KFF Health News and @politifact.bsky.social rate this claim as Mostly False.

Our HealthCheck explains why. ⤵️ kffhealthnews.org/news/article...

1 pm tomorrow vaccine world... new FDA vax framework

t.co/eWwwTt1RG9

this post aged well - committee voted the bill down (for now). More negotiations to come...

Graham on user fees: its worth exploring whether and how restructuring and simplifying the user fee programs may help rebuild trust in the FDA and its decisions and take advantage of the upcoming reauthorization to do so.

for those watching the Budget Committee markup - the committee is NOT allowed to alter the bill, its job is purely ministerial; to combine committees' work and send to Rules. That said, they DO have to approve it (and as of now don't appear to have the votes)

The budget fight over the current fiscal year and rhetoric around impoundment was highlighted in the exchange between the Secretary and Rep DeLauro

New CBO estimates of Medicaid ideas floated by Republicans would reduce federal spending but result in potentially millions more people uninsured.

CBO assumes states would replace about half of the federal cuts, which would also lead to cuts in other programs or higher state taxes.